emergency medicine
6-month-old fell from the kitchen counter
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It's Fussy Baby Quiz Time with Med-Challenger!
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A 2 mo previously healthy girl is brought to the ED with poor feeding and fussiness for several hours. She has had 2 episodes of non-bloody, non-bilious emesis. On examination, she is afebrile and mildly tachypneic. She has a capillary refill time of 2 seconds and is appropriately fussy with examination.
She has HR 288, and you note the following rhythm on the monitor:
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ECG courtesy of Dr. Rebekah Burns
After your initial maneuvers have failed, which of the following is the most appropriate next step in management assuming her physical exam is unchanged?
- IV adenosine
- Defibrillation
- Isotonic fluid bolus
- Synchronized cardioversion
This question appears in Med-Challenger Pediatric Emergency Medicine 3rd Edition Exam Review with CME
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